Value: 25% of the total grade
length: 600 words, excluding references
Task: Refer to the following case and answer the associated questions.
Case:
You are working as a nurse/medic in a remote community clinic.John
is a 65-year-old male who comes to your clinic complaining of stomach pain, especia lly after eating (describes the pain as like a burning serisation) and states that heis always feeling tired and sometimes gets dizzy. John also states that sometimes he finds it difficult to breathe.
On further questioningJohn tells youthat he suffers from osteoarthritis in his knees and in addition,he wasin a car accident several years ago and suffers from chronic back pain. John regularly smokes cigarettes andIs a regular heavy drinker of alcohol.
John tells you that he takes the following medications consistently for his medical conditions:
Aspirin 300 mg every 4 6 hours as required. Morphine 30 mgtwice daily as required
John tells you that because of his osteoarthritis and back painhe has been taking his
medications at their maximum dose (above) every day. John has also been drinking atleast 6 -8heavy strength beers every night as he claims it helps with his pain.
You consider that John’s symptoms could be related to several new medical conditions however, they have been ruled out. Younow suspect that John’s symptoms could be related to his medications and alcohol intake.
Questions:
Ql. Discuss the mechanism of action of each of John’s medicationsIn detail (discuss what happens at the receptor level and how do they produce their therapeutic
effect).
Q2. Discuss the major adverse effects of each of John’s medications and discuss any relevant drug interactions between John’s medications and other substances Johnis
taking.
Q3.Discuss which of John’s medications may be responsible for which of John’s
symptoms and discuss why. What would beyour recommendations to help reduce John’s symptoms? (Recommendations must be in line with current guidelines; Recommendations must be supported with current evidence from the literature).
Q4. Discuss the mechanism of action of alcohol at the receptorlevel and discuss how its mechanism of action could affect the mechanism of action of each of John’s medications. (What effect does alcohol have oneach of Joh1’s medications.)
Please use referenced evidence to support your answer (e.g.journal articles,text books,
Extensions:For details on how to apply for extensions and pol cy/procedures, please see
the section “late submission and extension” under the assessment tab.
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Owingto the number of students,the readingof pre-submission drafts,proof-read ng or pre-submission feedback of any kindis not available.
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ItIs expected that your submissionwilladhereto the following requirements: Maximum word limit:600
Font size:12
Font Type: preferably Arialor Calibri Line space:anywhere from 1.5 to 2
You are expected to include 5-10 relevant references less than 10 years old giving evidence of research.
You are expected to use journals
You are expected toincludein-text references as well as a reference list. References are not countedin the wordcount.